VBS June 15th – June 18th

As the parent or legal guardian of the child/children registered, I hereby give permission for
my child to participate in the VBS Program at La Gracia Baptist Church Eustis, FL. I
understand that the church is a nonprofit charitable institution, which is voluntarily
presenting this program for my child, other participants, and the community. I also
understand that the program has activities that can involve physical contact with other
participants, the ground or equipment, and that there is a resulting risk of physical injury to
my child.
I have explained these risks and benefits of participating in this program to my child and my
child is in proper physical condition and has no existing injuries or conditions that could
jeopardize his/her safety or health, or the safety or health of the other participants.
I therefore release and discharge all liability for any harm or injury suffered directly or
indirectly as a result of my child’s participation in La Gracia Baptist Church’s VBS Program,
whether or not resulting from negligence, and I agree not to sue the Church, its
representatives, staff, or volunteers on any such claim. I also give permission for the staff,
representative, or volunteers of the Church to administer first aid or to seek medical care
for my child during my child’s participation in the program, including transportation of my
child to a medical facility for additional treatment that appears necessary